If the documentation can support an "expanded problem focused" history or exam, and there is documentation of the higher level of medical decision making then yes, the doctor should bill a 99213. Writing an Rx could certainly bump up the MDM to support a 99213, but it must be documented.
Say a patient comes to the office with a cheif complaint of a cough and has COPD, this chronic illness paired with the respiratory symptom would justify a higher MDM than a patient without a chronic condion and the same symptoms. The patient with COPD may require an Rx, while the doctor may just reccomend that the patient without a respiratory condition try an OTC medication.
So, yes, the need to write an Rx can bump a 99212 to a 99213 in a snap, but just writing the Rx does not justify the higher code.
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